Individual
ANN ROSE GABRIELE PERILLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
455 TOLL GATE RD, WARWICK, RI 02886-2759
(401) 738-3100
(401) 738-8505
Mailing address
8 STAGECOACH RD, CUMBERLAND, RI 02864-6154
(401) 738-3100
(401) 738-8505
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
MD07523
RI
2085N0700X
Neuroradiology Physician
MD07523
RI
2085R0202X
Diagnostic Radiology Physician
Primary
MD07523
RI
2085U0001X
Diagnostic Ultrasound Physician
MD07523
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005238
TGR BLUE CHIP
RI
01
—
1178-5
BCBS TGR OFFICE
RI
01
—
1570-5
BCBS TGR KENT
RI
05
—
7001823
—
RI
Enumeration date
10/13/2006
Last updated
10/10/2007
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